Information is available for DOS before September 1, 2023.
Providers may purchase contracted hearing aids only from the manufacturers who have entered a contract with ForwardHealth. (Note: The delivery time for all manufacturers listed is "as required.")
The Hearing Aid Contract Manufacturers table includes contact information for ForwardHealth-contracted manufacturers.
The following modifiers are allowable for contracted hearing aid models.
| Modifier | Description |
|---|---|
| LT | Left side |
| RR* | Rental |
| RT | Right side |
| *The maximum allowable fee for all rentals is $27.34 per 30-day period. All rented hearing instruments require PA. Wisconsin Medicaid and BadgerCare Plus do not reimburse providers for dispensing fees for rental hearing instruments. | |
Wisconsin Medicaid and BadgerCare Plus will approve only medically necessary hearing aid models available through a volume purchase contract. The Hearing Aid Contract Models and Pricing table lists the allowable procedure codes for the corresponding hearing aid models. Many of the manufacturers and models listed are registered or trademarked by the manufacturer. All new hearing aid orders have a minimum 24-month manufacturer equipment warranty.
Note: There is a five-year product life expectancy on hearing aids for adults and a three-year product life expectancy on hearing aids for children ages 20 and younger.
The vendor must continue to honor the repair pricing of the contract under which the hearing aid was sold for the life of the hearing aid, whether the hearing aid has been discontinued from the contract, the vendor has terminated their participation in the contract, or the contract has been cancelled or expired. An invoice must accompany the repaired hearing aid when returned to the audiologist or hearing instrument specialist from the vendor.